LISA BALLESTEROS REYES

FORT CARSON, CO
NPI1134599392
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CO  0013412)
Enumeration Date2015-09-30
Last Update Date2024-12-31
Business Address
LISA BALLESTEROS REYES
1650 COCHRANE CIR UNIT MEDDAC
FORT CARSON, CO 80913-4604
Phone number: 719-526-7120
Mailing Address
LISA BALLESTEROS REYES
1650 COCHRANE CIR
FORT CARSON, CO 80913-4613
Phone number:
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